An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Mental Health |
261QM0850X | |||
Adolescent and Children Mental Health |
261QM0855X | |||
Case Management |
251B00000X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Community/Behavioral Health |
251S00000X | |||
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X |
| NPI # | 1316904956 |
| LBN Legal business name | LYDIA HOME ASSOCIATION |
| Authorized official | DAVID ANDERSON - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/27/2006 |
| Last updated | 02/25/2022 - About 4 years ago |
| Identifiers | n/a |
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LYDIA HOME ASSOCIATION
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